NPI 1699456491 · live from the CMS NPI Registry
Szandra Barbara Boleska, RD, LD
Dietitian, Registered in Albuquerque, NM. National Provider Identifier 1699456491, active.
NPI record
| NPI | 1699456491 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 201 Cedar St Se, Albuquerque, NM 87106 |
| Practice phone | 505-563-6530 |
| Mailing address | 11412 Malaguena Ln Ne, Albuquerque, NM 87111 |
| Enumerated | July 26, 2023 |
| Last updated | February 2, 2024 |
| Sole proprietor | Yes |
| Other names | Szandra Ruggles |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | NDP-2023-0005 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.